The association between protective behavioral strategies and alcohol-related problems: An examination of race and gender differences among college drinkers

Clarke, Nickeisha; Kim, Su Young; Ray, Anne E.; White, Helene Raskin; Jiao, Yang; Mun, Eun Young

doi:10.1080/15332640.2014.1002877

Cited by 21 publications

(17 citation statements)

References 41 publications

(61 reference statements)

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“…Martin et al (2019) found a lack of measurement invariance for both of the aforementioned items and examination of item means indicated that White students reported more frequent use of both PBS items. Martin et al (2019) and Clarke et al (2016) also found significant racial differences for "Avoid drinking games" such that White respondents utilized this strategy less often than Black respondents did. Treloar et al (2014) found that women reported avoiding drinking games more often than men.…”

Section: Discussionmentioning

confidence: 95%

“…Based on previous investigations of measurement invariance of PBS items across gender and racial groups, we hypothesized that some items would exhibit DIF across men and women and White and Black groups of students. For example, the following items have exhibited significant gender and racial differences: “Make sure you go home with a friend,” “Use a designated driver,” and “Avoid drinking games” (Clarke et al, 2016; Martin et al, 2019; Treloar, Martens, & McCarthy, 2014). No a priori hypotheses were made about which items would function most optimally in regard to item difficulty and discrimination.…”

Section: Present Studymentioning

confidence: 99%

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Optimal assessment of protective behavioral strategies among college drinkers: An item response theory analysis.

Martin¹,

Colvin²,

Madson³

et al. 2020

Psychological Assessment

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College student alcohol use and related consequences continue to warrant significant concern. Extant research demonstrates protective behavioral strategies (PBS; self-regulatory strategies that can be employed before, during, or after drinking to prevent intoxication or negative consequences) have promise for preventative interventions. Variations in conceptualization and measurement of the construct limit generalization of PBS research. To advance generalization of PBS research, there is a need for a brief, comprehensive, content valid, PBS measure that demonstrates equivalence in measurement across demographically diverse college students. The present study aimed to develop a psychometrically robust measure of PBS using item response theory (IRT) to address measurement and methodological issues including identifying optimal response anchors and items that represent the full range of the PBS construct for use with college men and women from different racial backgrounds. Participants were 503 college students enrolled in a midsized university in the Southern United States. IRT and differential item functioning (DIF) analyses of 68 PBS items extracted from 6 existing PBS measures resulted in a 20-item instrument, the Protective Drinking Practices Scale, with items that functioned equivalently for White and Black/African American college men and women. The measure also demonstrated good internal and external validity. Widespread use of this measure will help enhance the comparability of findings in PBS research, allowing for more targeted and impactful research on PBS as a mechanism of change. Suggestions for future research are provided.

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Section: Discussionmentioning

confidence: 95%

Section: Present Studymentioning

confidence: 99%

Optimal assessment of protective behavioral strategies among college drinkers: An item response theory analysis.

Martin¹,

Colvin²,

Madson³

et al. 2020

Psychological Assessment

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“…It should be noted that there was still considerable risk behavior and alcohol use endorsed among the screening participants prior to exclusion (e.g., of the screening sample 49.7% engaged in vaginal and/or anal sex after drinking and did not use a condom; 29.9% drank three times a week or more; 59% had past month heavy episodic drinking). Additionally, previous research has demonstrated that PBS vary in utilization by race and/or ethnicity (e.g., Clarke et al, 2016; Kenney & LaBrie, 2013); thus, findings may not generalize across race or ethnicity.…”

Section: Discussionmentioning

confidence: 90%

Perceived vulnerability moderates the relations between the use of protective behavioral strategies and alcohol use and consequences among high-risk young adults

Garcia

Fairlie

Litt

et al. 2018

Addictive Behaviors

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Drinking protective behavioral strategies (PBS) have been associated with reductions in alcohol use and alcohol-related consequences in young adults. PBS subscales, Limiting/Stopping (LS), Manner of Drinking (MOD), and Serious Harm Reduction (SHR), have been examined in the literature; LS, MOD, and SHR have mixed support as protective factors. Understanding moderators between PBS and alcohol use and related consequences is an important development in PBS research in order to delineate when and for whom PBS use is effective in reducing harm from alcohol use. Perceptions of vulnerability to negative consequences, included in health-risk models, may be one such moderator. The current study examined whether two types of perceived vulnerability (perceived vulnerability when drinking; perceived vulnerability in uncomfortable/unfamiliar situations) moderated the relations between LS, MOD, SHR strategies and alcohol use and related negative consequences. High-risk young adults (N = 400; 53.75% female) recruited nationally completed measures of PBS, alcohol use and related consequences, and measures of perceived vulnerability. Findings demonstrated that perceived vulnerability when drinking moderated the relations between MOD strategies and alcohol use. The interactions between perceived vulnerability when drinking and PBS did not predict alcohol-related consequences. Perceived vulnerability in unfamiliar/uncomfortable social situations moderated relations between MOD strategies and both alcohol use and related negative consequences; no other significant interactions emerged. Across both perceived vulnerability types and MOD strategies, those with the highest levels of perceived vulnerability and who used MOD strategies the most had the greatest decrements in alcohol use and related negative consequences. Prevention and intervention implications are discussed.

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“…A key data feature of IPD combined from multiple studies is the nesting of individual participants within studies, which must be considered for accurate statistical inference (see also Mun et al, 2015, p. 36-38). To account for the nested data structure of IPD from multiple studies in a one-stage integrative analysis, parameter estimates and corresponding standard errors can be adjusted for clustering by utilizing either (1) a model-based approach using multilevel modeling that incorporates cluster-specific parameters (e.g., Huh et al, 2015Huh et al, , 2019 or (2) a design-based approach in which clustering is accommodated via complex survey analysis with weights applied to participants in a single-level analysis (e.g., Clarke et al, 2013Clarke et al, , 2016Li et al, 2020;Ray et al, 2014).…”

Section: Accounting For Clustered Design Using Sem For Complex Survey Datamentioning

confidence: 99%

A Structural Equation Modeling Approach to Meta-analytic Mediation Analysis Using Individual Participant Data: Testing Protective Behavioral Strategies as a Mediator of Brief Motivational Intervention Effects on Alcohol-Related Problems

Huh

Zhou

et al. 2021

Prev Sci

Self Cite

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This paper introduces a meta-analytic mediation analysis approach for individual participant data (IPD) from multiple studies. Mediation analysis evaluates whether the effectiveness of an intervention on health outcomes occurs because of change in a key behavior targeted by the intervention. However, individual trials are often statistically underpowered to test mediation hypotheses. Existing approaches for evaluating mediation in the meta-analytic context are limited by their reliance on aggregate data; thus, findings may be confounded with study-level differences unrelated to the pathway of interest. To overcome the limitations of existing meta-analytic mediation approaches, we used a one-stage estimation approach using structural equation modeling (SEM) to combine IPD from multiple studies for mediation analysis. This approach (1) accounts for the clustering of participants within studies, (2) accommodates missing data via multiple imputation, and (3) allows valid inferences about the indirect (i.e., mediated) effects via bootstrapped confidence intervals. We used data (N = 3691 from 10 studies) from Project INTEGRATE (Mun et al. Psychology of Addictive Behaviors, 29, 34–48, 2015) to illustrate the SEM approach to meta-analytic mediation analysis by testing whether improvements in the use of protective behavioral strategies mediate the effectiveness of brief motivational interventions for alcohol-related problems among college students. To facilitate the application of the methodology, we provide annotated computer code in R and data for replication. At a substantive level, stand-alone personalized feedback interventions reduced alcohol-related problems via greater use of protective behavioral strategies; however, the net-mediated effect across strategies was small in size, on average.

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The association between protective behavioral strategies and alcohol-related problems: An examination of race and gender differences among college drinkers

Cited by 21 publications

References 41 publications

Optimal assessment of protective behavioral strategies among college drinkers: An item response theory analysis.

Optimal assessment of protective behavioral strategies among college drinkers: An item response theory analysis.

Perceived vulnerability moderates the relations between the use of protective behavioral strategies and alcohol use and consequences among high-risk young adults

A Structural Equation Modeling Approach to Meta-analytic Mediation Analysis Using Individual Participant Data: Testing Protective Behavioral Strategies as a Mediator of Brief Motivational Intervention Effects on Alcohol-Related Problems

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